Individual provider Active NPI

Don Gruntowicz, PHARM.D., BCPS, CGP

  • Pharmacotherapy Pharmacist
  • Seattle, WA
National Provider Identifier
1790767671
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
PH60086614 Issued in WA
Practice address
3101 Western Ave Ste 100
Genelex Corporation
Seattle, WA 98121-3017
Phone
(206) 302-8945
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 16474 CO
Pharmacotherapy Pharmacist 1835P1200X PH60086614 WA Primary

Addresses

Primary practice location

3101 Western Ave Ste 100
Genelex Corporation
Seattle, WA 98121-3017

Mailing address

3101 Western Ave Ste 100
Genelex Corporation
Seattle, WA 98121-3017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
16474COMDPharmacotherapy Pharmacist
PH60086614WAMDPharmacotherapy Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1790767671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 WESTERN AVE STE 100",
            "address_2": "GENELEX CORPORATION",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981213017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 WESTERN AVE STE 100",
            "address_2": "GENELEX CORPORATION",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981213017",
            "telephone_number": "206-302-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNTOWICZ",
        "first_name": "DON",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCPS, CGP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CO",
            "license": "16474",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WA",
            "license": "PH60086614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.